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General NPI Number Information
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NPI Number | 1104188697
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Entity Type | Individual
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Provider Name | NICOLE D ARTHUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2720 LOW CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-9771
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Country | US
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Telephone | 707-427-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 LOW CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-9771
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Country | US
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Telephone | 707-429-7000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 178811
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD34378
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 982
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 34378
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License Number State | AL
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